| Dba Archie Medical Center | |
|
709 E Pine St Archie MO 64725-9215 | |
| (816) 430-5777 | |
| (816) 430-5219 |
| Full Name | Dba Archie Medical Center |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 709 E Pine St, Archie, Missouri |
| Authorized Official Name and Position | John Christopher Lang (CEO) |
| Authorized Official Contact | 8163805888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dba Archie Medical Center 709 E Pine St Archie MO 64725-9215 Ph: (816) 430-5777 | Dba Archie Medical Center 709 E Pine St Archie MO 64725-9215 Ph: (816) 430-5777 |
| NPI Number | 1962647115 |
|---|---|
| Provider Enumeration Date | 12/02/2008 |
| Last Update Date | 12/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962647115 | NPI | - | NPPES |
| 20663016 | Other | MO | BCBS OF KC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Archie Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 709 E Pine St., Archie, MO 64725 Phone: 816-430-5777 Fax: 816-430-5219 |